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1821589219
ALISA L PETERSON
YAKIMA, WA
NPI
1821589219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA LW00007445)
Enumeration Date
2018-05-22
Last Update Date
2018-05-22
Business Address
ALISA L PETERSON LICSW
302 S 10TH AVE
YAKIMA, WA 98902-3521
Phone number: 509-574-3670
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Mailing Address
ALISA L PETERSON LICSW
302 S 10TH AVE
YAKIMA, WA 98902-3521
Phone number: 509-574-3670
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